Laserfiche WebLink
ELECTRICAL PERIVIIT APP�ICATION <br /> CiTY OF EVERETT PEf2MIT SEF2VtCES <br /> 3200 CEDAR STREET, EVERETT,WA 98207 <br /> (P)425-257-8810 ( FAX 425-257-8857 � (E)everetteps@everettwa.gov� www.everettwa.gov/permits <br /> PROJECT SITE il�IFORMATION ' <br /> PRaECTaooRess: 1205 Craftsman Wa , Do�k H, Sti #H14 <br /> BUILDING AREA(if residential,new construdion,remodel,or addition) N�A SF <br /> BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: BOat SII <br /> ELECTRICAL APPWCATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ 700.00 <br /> NUMBER OF DEVICES if low volta e : 1 <br /> FIRE ALARM? ❑YES 0 NO <br /> ASSOCIATED BUILDING PERMIT# if a licable: <br /> DESCRIPTION OF WORK: Installation ot a shore power outlet to the existing power pedestal,required by the Port of Everett <br /> = CONTACT INfORMATIQN <br /> OWNER NAMEFCatI{C W{IISOII TENANT NAME If Commerciai): <br /> OWNER MAILING ADDRESS: s�eeT 607 Maulsla Lane <br /> Everett �,TM ST,,,�WA vP 98201 <br /> OWNER PHONE: 4Z5-23$-�I T3H owNER En�w�: paco1947@outlook.com <br /> coNrRacroR w►Me:W E Electric <br /> CONTRACTOR ADDRESS: snzeer PO BOX Z4Z7 <br /> �,�Redmond ST,,,�WA Z,P 98073 <br /> CONTRACTOR PHONE:4ZS-SOS-63SZ CONTRACTOR EMAIL: CUth.wyatt@weelectric.com <br /> CONTRACTOR LIC.#(REQUIRED): WEELEEE91 O4U CITY OF EVERE7T BUSINESS LIC.#(REQUIRED):57075 <br /> PRIMARY CON7ACT: �OWNER 0 CONTRACTOR O OTHER{Please Specify) <br /> CONTACT NAME: CONTACT PFfiONE: [�2rj-rjQ$-S3$2 <br /> RUth Wyatt coNracr e��:ruth.wyatt@weelectric.com <br /> AGREEMENT_!hereby certify that l have read and examined this application and know the same to be irue and cwrect. All provisions of laws and�nar�goveming lhis type <br /> of work willb�e sompleted whe1hersp�ecrfled hercin ornot. The granting ofa permit daes not presume to give authority to vio/ate or caneel th�e provisions ofanyotherstale or <br /> bcal law�egalating cons6uction or the peAamarrce o/construction. That 1 am authorized 8y the owner of this properiy to perform tl�e work tor which application is made and I <br /> comply wilh the Shafe Confractors Law 18.27 f?CW and 296200 WAC <br /> City of Everett Of/icial Use OMy <br /> PERMIT# <br /> " �- Er� O�' �I� <br /> OwneNAuthorized A t Signffiure Date (Revised 923/2016) <br />